

<script type="text/javascript" src="<?= $this->config->base_url(); ?>assets/js/jquery-1.4.3.min.js"></script>
<script type="text/javascript" src="<?= $this->config->base_url(); ?>assets/js/jquery-ui.js"></script>
<link rel="stylesheet" href="<?= $this->config->base_url(); ?>assets/css/jquery-ui.css" type="text/css" charset="utf-8" />
<div class="header">
            
            <h1 class="page-title">Collect Docket No.</h1>
        </div>
        
                <ul class="breadcrumb">
         
            <li class="active">Collect Docket No.</li>
        </ul>
<div class="row-fluid">
<div class="span12 pad_all">

<br>
<br>
<br>
<div class="span4"> </div>
<div class="span6">
<form method="post" action="<?php echo site_url('/admin/defective/docket_no')?>">
<label for="inputEmail" class="col-lg-2 control-label"><b>Case No.</b></label>
<input type="text" readonly="readonly" name="case_no" value="<?php echo $case->hp_case;?>" />
<label for="inputEmail" class="col-lg-2 control-label"><b>Receipt No.</b></label>
<input type="text" readonly="readonly" name="case_no" value="<?php echo $case->case_no;?>" />
<input type="hidden" name="case_id" value="<?php echo $case->id;?>" />

 <label class="col-lg-2 control-label"><b>Docket No.</b></label>
 <input type="text" name="docket" />
<label  class="col-lg-2 control-label"><b>Dispatched Date</b></label>

            <input data-date-format="yyyy/mm/dd" type="text" class="date1 " id="datepicker1" name ="dispatch_date" />
           
      
<label  class="col-lg-2 control-label"><b> Expected Date</b></label>

            <input data-date-format="yyyy/mm/dd"  type="text" class=" date1 " id="datepicker2" name ="expected_date" />
           
       
<label for="inputEmail" class="col-lg-2 control-label"><b>Mail To Customer</b></label>
<input type="checkbox" name="email" value="1"/>
<br>
<br>
<p align="center">
<input type="submit" value="Save" class="btn btn-danger"/></p>

</div>


</div>

</div>

<script type="text/javascript">
$(document).ready(function(){
	$('.date1').datepicker({ dateFormat: 'yy-mm-dd' });

	
})
</script>